WELLMED MEDICAL GROUP, PA (NPI# 1437156486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437156486 |
| Entity Type | Organization |
| Organization Name | WELLMED MEDICAL GROUP, PA |
| Practice Address |
4438 Centerview San Antonio TX 78228-1440 |
| Mailing Address |
8637 Fredericksburg Rd #360 San Antonio TX 78240-1285 |
| Practice Telephone | 2102800040 |
| Practice Fax Number | 2102800060 |
| Mailing Telephone | 2106174029 |
| Mailing Fax Number | 2106174075 |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2011-02-10 |
| Authorized Official Name | DR. CARLOS O HERNANDEZ (DIRECTOR) |
| Authorized Official Telephone | 2106174757 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1093841-02 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669778304 | Wellmed Medical Group, Pa | Dermatology | 415 Embassy Oaks, #200, San Antonio, TX 78216-2040 | 2011-01-27 |
| Street Address |
4438 CENTERVIEW |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78228-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881993129 | Patricia Larios | Internal Medicine | 4438 Centerview, San Antonio, TX 78228-1440 | 2011-03-25 |
| 1750536058 | Amy Quintero | Nurse Practitioner | 4438 Centerview, San Antonio, TX 78228-1440 | 2008-12-01 |
| 1699875336 | Vadean L. Jackson | Family Medicine | 4438 Centerview, San Antonio, TX 78228-1440 | 2006-09-23 |
| 1851327621 | Jesus S Gallegos | Internal Medicine | 4438 Centerview, San Antonio, TX 78228-1440 | 2006-06-24 |
| 1144292715 | Christopher David Pomelow | Physician Assistant | 4438 Centerview, San Antonio, TX 78228-1440 | 2006-02-07 |
| 1649277336 | Richard Prezas | Family Medicine | 4438 Centerview, San Antonio, TX 78228 | 2005-07-07 |
| 1710984406 | Carlos Omar Hernandez | Internal Medicine | 4438 Centerview, San Antonio, TX 78228 | 2005-07-07 |
| 1629075312 | Joe Edward Trevino | Internal Medicine | 4438 Centerview, San Antonio, TX 78228 | 2005-07-07 |
| 1346247046 | Paul David Sanchez | Physician Assistant | 4438 Centerview, San Antonio, TX 78228-1440 | 2005-07-07 |
| 1164429866 | Cindy Louise Johnston | Family Medicine | 4438 Centerview, San Antonio, TX 78228 | 2005-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770064206 | Isabel Cristina Moreno | Licensed Vocational Nurse | 5419 Shivalik Way, San Antonio, TX 78228 | 2018-08-23 |
| 1053846097 | Miguel Angel Hernandez | Counselor | 3615 Culebra Road, San Antonio, TX 78228 | 2017-04-27 |
| 1841724424 | Amber Fragoso | Specialist/Technologist | 1 Camino Sanata Maria, San Antonio, TX 78228 | 2017-04-20 |
| 1184175937 | John Amundson IIi | Counselor | 4243 E Piedras Dr # 100, San Antonio, TX 78228 | 2016-10-17 |
| 1215487475 | Compassus Op of Texas LLC | Hospice Care, Community Based | 4242 E Piedras Dr, Suite 200, San Antonio, TX 78228 | 2016-10-11 |
| 1407220130 | Jessica Marie Hernandez-benavidez | Counselor | 2939 W. Woodlawn, Buidling 2, San Antonio, TX 78228 | 2015-11-18 |
| 1720494214 | Early Trail Inc | Assisted Living Facility | 322 Early Trail, San Antonio, TX 78228 | 2014-07-07 |
| 1992117717 | R A Alvarado Medical Pllc | Pain Medicine | 4100 E Piedras Dr Ste 165, San Antonio, TX 78228 | 2014-05-28 |
| 1447681606 | Smile Kings Bandera, Pllc | Dentist | 919 Bandera Rd. Ste 101, San Antonio, TX 78228 | 2013-12-12 |
| 1811230345 | Gwendolyn Holland | Registered Nurse | 5310 Arrowhead Dr, San Antonio, TX 78228 | 2013-04-03 |
| Find all providers in zip 78228 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548695794 | Ana M. Ballester-fiallo, M.d. Pllc | Internal Medicine | 730 N Main Ave Ste 622, San Antonio, TX 78205-1116 | 2013-09-06 |
| 1316190606 | Francis X. Burch | Internal Medicine | 205 Lariat Rd, San Antonio, TX 78232-1006 | 2008-10-30 |
| 1104008952 | Chelsea I. Clinton | Internal Medicine | 18585 Sigma Rd Ste 102, San Antonio, TX 78258-4204 | 2007-12-04 |
| 1508082504 | Carlos Lorenzo | Internal Medicine | 7703 Foyd Curl Dr., Uthscsa, Clinical Epidemiology, Room 5.594u, San Antonio, TX 78229-3900 | 2007-04-18 |
| 1225113434 | Robert Harold Persellin | Internal Medicine | 635 E Olmos Dr, San Antonio, TX 78212-2504 | 2006-10-26 |
| 1487669040 | Luis Ricardo Zuniga-montes | Internal Medicine | 4511 Horizon Hill Blvd., Suite 150, San Antonio, TX 78229 | 2006-07-30 |
| 1780617282 | Gautam R Moorjani | Internal Medicine | 19272 Stone Oak Parkway, Suite 101, San Antonio, TX 78258 | 2006-07-08 |
| 1013986629 | Alex Dejesus | Internal Medicine | 7959 Fredericksburg Rd, Suite 135, San Antonio, TX 78229-3430 | 2006-03-16 |
| 1316915549 | Joel Edward Rutstein | Internal Medicine | 3 Chelsea Grn, San Antonio, TX 78257-1231 | 2006-03-14 |
| 1053380048 | Pendleton Brewster Wickersham | Internal Medicine | 4511 Horizon Hill Blvd, Suite 150, San Antonio, TX 78229-2263 | 2006-03-14 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78228 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.